Provider Demographics
NPI:1891974242
Name:BRITTAIN CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:BRITTAIN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRITTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-638-2501
Mailing Address - Street 1:3021 EAGLECREST DR
Mailing Address - Street 2:STE B1
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-6193
Mailing Address - Country:US
Mailing Address - Phone:913-638-2501
Mailing Address - Fax:
Practice Address - Street 1:3021 EAGLECREST DR
Practice Address - Street 2:STE B1
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-6193
Practice Address - Country:US
Practice Address - Phone:913-638-2501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4982111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS36094015OtherBCBS #
KST400000OtherMEDICARE GROUP #
KS36094015OtherBCBS #